Clone of Palo Pinto County 4-H All Star Award Application

Palo Pinto County 4-H Letterman Award Application
Eligibility: 9th, 10th, 11th, or 12th Grade 4-H Members

Award may be received only once.

If you have any questions, please contact the Extension office at 940-659-1228.
Name of 4-H Member

First NameLast Name
Name of Parent or Guardian

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Please select your 4-H Club.

Rows	9th Grade	10th Grade	11th Grade	12th Grade
Participate in a minimum of three projects.
Attend 2/3 of regular club meetings.

Rows	9th Grade	10th Grade	11th Grade	12th Grade
Participate in a 4-H contest on the county or district level.
Participate in a contest or event on the state level.
Turn in a complete 4-H Record Book.
Research college and career opportunites.
Participate in a county, district, state or national leadership training.
Serve on a committee or as an elected officer.
Serve on a county 4-H committee.
Serve as a junior/teen leader or assist with providing a learning experience for other 4-H members or youth.
Assist with conducting a county 4-H activity or program.
Help with a community service project.
Organize and/or provide leadership to a community service project.
Share information about 4-H to other organizations or groups.
Participate in a 4-H promotion activity.
Participate in a school or community activity.

Palo Pinto County 4-H Letterman Award Application